Are you a resident of Franklin County?     □ YES     □ NO

Name of Applicant        ___________________________________

Mailing Address           ___________________________________

                                  ___________________________________

                                  ___________________________________

Telephone Number     (_____)_____________________________

Extracurricular Activities  ________________________________________________________________

Hobbies   ____________________________________________________________________________

Name of High School    __________________________________________________________________

High School Mailing Address  _____________________________________________________________

Telephone Number        (_____)___________________________

Name of College or  other further educational facility:  __________________________

College or other further educational facility’s Mailing Address: __________________________________

___________________________________________________________________________________

Telephone Number       (_____)___________________________

Are you or a family member connected to North Franklin Snowmobile Club?                         Yes □     No □

Are you or a family member a land-owner of the North Franklin Snowmobile Club Trails?     Yes □     No □

If yes, name of member or land owner    ____________________________________________________

Member or land owner's address            ____________________________________________________

Member or land owner's telephone Number         (_____)__________________

If land-owner, please circle trail system:   Avon     Freeman     Madrid     Phillips     Salem

********************************************************************************************************************************************
DEADLINE FOR APPLICATION – April 30th                                                             06/02/05
R - 08/09/05, 11/06/05, 07/29/06, 06/01/07, 10/07/07, 10/08/07